Input-output efficiency analysis for children′s diagnosis and treatment service at 27 community health service centers in China
10.3760/cma.j.cn111325-20200909-01902
- VernacularTitle:我国27家社区卫生服务中心儿童诊疗服务投入产出效率分析
- Author:
Xi WANG
1
;
Tao YIN
;
Huimin YANG
;
Xiaoguo ZHENG
;
Ruili LI
;
Lihong WANG
;
Delu YIN
Author Information
1. 首都儿科研究所卫生发展研究室，北京 100010
- Keywords:
Children;
Diagnosis and treatment;
Community health service center;
Data envelopment analysis
- From:
Chinese Journal of Hospital Administration
2021;37(2):167-171
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To provide strategic suggestions for optimizing children′s diagnosis and treatment services in the communities, by means of analyzing the overall efficiency of children′s diagnosis and treatment services in the sample community health service centers, and learning the current input and output of children′s diagnosis and treatment resources.Methods:In April 2020, a total of 27 community health service centers in 14 cities were selected by random sampling. Data such as the number of medical visits by children aged 0 to 18 years and the area of pediatric diagnosis and treatment departments in the sample centers in 2019 were collected by self-filling questionnaires. Excel was used for data sorting. Data envelopment analysis(DEA) was used for data processing. The data processing tool was DEAP 2.1.Results:The average comprehensive efficiency, the average technical efficiency and the average scale efficiency of the 27 sample community health service centers were 0.445, 0.865 and 0.494 respectively. There were five DEA efficient centers, 4 DEA weak inefficiency centers and 18 inefficient centers. Six out of 18 DEA inefficient centers had redundant input of healthcare professionals capable pediatrics; 12 centers were short of children visits, and 15 were short of visits by children aged 0-6 years.The centers where DEA was inefficient were concentrated in the central region, the suburbs and " centers with independent pediatric clinics but without pediatric wards" .Conclusions:The comprehensive efficiency of children′s diagnosis and treatment services in the sample community health service centers is relatively low. Currently, the sample community health service centers are faced with such problems as small and insufficient input of children′s diagnosis and treatment resources in the community, unbalanced development of children′s diagnosis and treatment services in the region among others. It is suggested that on the basis of making full use of the existing resources to create the maximum output value, we should consider appropriately expanding the scale of resource input to improve the efficiency of children′s diagnosis and treatment services at the primary level and further give play to the value of the " gatekeepers" at the primary level in children′s diagnosis and treatment.
